LEIN Request 20021.pdf
PDF 180 KB Posted
- Solicitation number
- RFP-171-200000001494-3
- Issued by
- Clare County, Michigan
About this file
This document is a LEIN (Law Enforcement Information Network) request form from the Michigan Department of Corrections (MDOC) for a criminal history check related to the Kinross Correctional Facility Security Door Replacement project (File # 472/20021.TAP). The form is designed to collect personal identification information for individuals seeking to enter secure MDOC facility perimeters, including details such as name, address, date of birth, race, sex, and identification numbers. The form requires authorization for a criminal history check and potentially a motor vehicle operator license record review.
The form appears to be part of a pre-screening process for contractors, employees, volunteers, or visitors to MDOC facilities, with specific emphasis on ensuring security protocols are followed before granting access to correctional facilities. While the document does not provide detailed project specifics about the security door replacement, it indicates a systematic approach to vetting individuals who may interact with or work within corrections facilities. The form allows MDOC personnel to conduct background checks and record necessary demographic and identification information to maintain facility safety and security standards.
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|---|---|---|
| IMG_4025.JPG | JPG image | |
| IMG_4029.JPG | JPG image | |
| IMG_4033.JPG | JPG image | |
| RFP Billable Rate 20021.pdf | ||
| IMG_4020.JPG | JPG image | |
| IMG_4026.JPG | JPG image | |
| IMG_4030.JPG | JPG image | |
| KinrossTemp.Facility-Power Plan.pdf | ||
| IMG_4021.JPG | JPG image | |
| IMG_4022.JPG | JPG image | |
| IMG_4027.JPG | JPG image | |
| IMG_4034.JPG | JPG image | |
| IMG_4019.png | PNG image | |
| IMG_4024.JPG | JPG image | |
| IMG_4028.JPG | JPG image | |
| IMG_4031.JPG | JPG image | |
| IMG_4032.JPG | JPG image | |
| Kinross Floor Plan 1.pdf | ||
| Project Statement 20021.pdf |
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Text version
MICHIGAN DEPARTMENT OF CORRECTIONS
LEIN REQUEST
CAJ-1037.
REV. 09/19.
Please provide the information requested below. This information will be used to complete a criminal history check in the Michigan Law Enforcement Information Network (LEIN).
Your Driver’s License Number or State Identification Card Number, date-of-birth, race and sex is needed to complete this LEIN request.
Employment/Human Resources HR Personnel / Requesting
Contractor Visitor Contractor Agency Agency Representing
Volunteer Other Agency Representing Agency Representing
Are you entering the secure perimeter/property of a Michigan Department of Corrections (MDOC) facility? Yes No
Please print information below:
Last Name: First Name: Middle Name:
Address:
City: State: Zip Code:
Date of Birth: Sex: Race:
Please provide the number of one of the following types of identification:
Driver’s License #: State issued by:
State ID #: State issued by:
I authorize the MDOC to conduct a criminal history check, so that I may be approved to enter the secure perimeter/property of an MDOC facility to perform work, visit, meet with or work with MDOC offenders.
For MDOC HR/Employment purposes only: I further authorize the Department to check my motor vehicle operator license record for the purposes of determining if I will be allowed to operate a motor vehicle while conducting Department business.
Signature: Date:
LEIN Completed By: Name: Date:
LEIN Cleared: Yes No (Does not apply to Human Resources)
MDOC Employment/HR purposes: Indicate the # of convictions:
Comment (Optional):
hallt2 Text Box Facility/Project Name: Kinross Correctional / Security Door Replacement File # 472/20021.TAP
File details come from the government source that posted it. Updated .